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A nurse is caring for a client.

Exhibits

Complete the following sentence by using the list of options.

The first two actions the nurse should take are

and

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Place the client in a private room (Option 1): Given the positive test results for tuberculosis (TB) exposure, placing the client in a private room is crucial for infection control. This helps prevent the spread of TB, which is a highly contagious disease, to other patients and healthcare staff. Isolation is a standard precaution for patients suspected of having active TB.

Apply supplemental oxygen (Option 2): The client's oxygen saturation is low at 88% on room air, indicating hypoxemia. Administering supplemental oxygen is essential to improve the patient's oxygen levels, ensure adequate tissue perfusion, and address any respiratory distress the patient may be experiencing.


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Related Questions

Correct Answer is B

Explanation

A. A 10-mL syringe is typically too small for effective wound irrigation; a larger syringe (30 mL or more) is usually recommended to provide adequate pressure and volume for cleansing.

B. Holding the syringe tip 2.5 cm (1 in) above the wound ensures that the irrigation solution is delivered effectively without directly contaminating the wound.

C. Cotton balls should not be used for wound cleansing, as they can leave fibers behind; gauze pads or sterile swabs are more appropriate.

D. The wound bed should not be dried with gauze; instead, it should remain moist or be covered with appropriate dressings to promote healing.

Correct Answer is B

Explanation

A. Orthostatic hypotension is not a direct risk factor for cardiovascular disease, though it can be related to other health issues.

B. Type 1 diabetes mellitus increases the risk for cardiovascular disease due to chronic hyperglycemia, which can damage blood vessels over time.

C. Osteoporosis is a risk for bone health but is not a cardiovascular risk factor.

D. A BMI of 24 is within the normal range and does not pose a cardiovascular risk.

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